從男子氣概分析男性口腔癌存活者的韌性形成過程

The Resilience of Male Oral Cancer Survivors: The Masculinity Perspective

本研究跳脫公共衛生審視口腔癌病患的階級區隔觀點，從文本分析中找出男子氣概作為理解男性口腔癌存活者的視角，並探究男子氣概或有助於韌性形成的意涵。本研究以深度訪談法蒐集九位男性口腔癌存活者的罹病經驗，繼以主題分析法進行資料分析。研究發現，男性口腔癌存活者因罹病後工作喪失和人際關係萎縮等情形，使其原有性別認同基礎受到衝擊，轉而從家庭關係中重構其自我認同。同時，男子氣概類型從原本「霸權型」或「邊緣型」，轉變成「新好男人型」、「好爸爸型」，以及「老大哥型」等，有助於面對日常生活各方面的挑戰。相對地，亦有二位受訪者同樣面臨失業和人際互動遽減、卻又欠缺家庭支持下，而成為「落魄的男人」。本研究建議，助人專業者可以家庭為男性口腔癌存活者男子氣概轉化和韌性形成的媒介。

This study adopted the masculinity approach to explore the experience of male oral cancer survivors, and to better understand the implications of resilience that may be related to masculinity. Nine in-depth interviews with male oral cancer survivors were conducted and the data analysis adopted a thematic approach. This study argues that male oral cancer survivors had faced unemployment as well as problematic human relationships after they got cancer, and that these events influenced their masculinity. The types of masculinity changed from 'hegemony' and 'marginalization' to 'new good man', 'good father' or 'big brother', and these changes of masculinity could improve their ability to face the challenges in their daily life. In contrast, two male oral cancer survivors turned into 'men out of luck' because of unemployment, impaired human relationship, and lack of family support. Furthermore, the acceptance of family members can help the transformation of masculinity in a positive way. This study suggests that the helping professionals could assist the family in becoming a vehicle for the transformation of masculinity and development of resilience of male oral cancer survivors.